ANNE FONDRIEST GENTRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033077

License Status

NOT RENEWED

Business

First Name

ANNE FONDRIEST

Last Name

GENTRY

Business Name

ANNE FONDRIEST GENTRY

Original Issue Date

05/01/1980

Effective Date

05/01/1980

Expiration Date

01/31/1982

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005